TRACY L ELLINGTON DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000460

License Status

EXPIRED

Business

First Name

TRACY

Middle

Last Name

ELLINGTON

Suffix

DPM

Business Name

TRACY L ELLINGTON DPM

Original Issue Date

07/07/2000

Effective Date

07/07/2000

Expiration Date

01/31/2001

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/25/2006